Individual provider · Type 1 NPI

Owen Michael Mallery, MD

Military Health Care Provider · Fort Bliss, TX

NPI number 1316735566 Active

Practice location

18511 Highlander Medics St
Fort Bliss, TX 79906-5327

Call (815) 303-6986 Map

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1316735566

Owen Michael Mallery, MD's National Provider Identifier is 1316735566, issued on Apr 28, 2025. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Fort Bliss, TX. The record was last updated on Jul 10, 2026.